You will work within the Research & Monitoring unit and report to the General Manager: Research & Monitoring.
You will work within the Research & Monitoring unit and report to the General Manager: Research & Monitoring. You will be responsible for:
Monitor the impact of the Medical Schemes Act and trends in Private health Finance: Support to the review of the contents of the annual statutory returns; Analysis of non-accounting data, including demographics, utilisation of healthcare services, burden of disease and geographic distribution of membership for the annual statutory returns; Provide actuarial input into research projects; Conduct research on the private health care sector; Conduct exploratory data analysis; Data cleaning and mining; Overseeing work of external parties contracted to conduct research on behalf of Council; Collate and analyse data; Disseminating research findings; Evaluate and revise definitions of non-financial indicators (including PMBs); Final report and publication.
Collect, manage and analyse data to measure quality of care: Literature reviews; Design data-specifications for the collection of data; Define process and outcomes indicators; Develop a model to analyse quality of healthcare by observing its structure, processes and outcomes; Report writing.
Collect, manage and analyse Prescribed Minimum Benefit (PMB) data: Design data-specification for the collection of data; Collection of data, cleaning of the data and the analysis of the data; Costing of the PMB's and benefit options in general; Advise on the composition of the PMB benefit package (benefit design); Report writing.
Involvement in support projects for the unit: Provide technical and statistical support to other projects within the unit and within CMS upon request; To undertake applied health economics analyses of health policy and health systems as it relates to private healthcare reforms including support to the National Health Insurance (NHI); Ad-hoc requests from Council.
Review of the Solvency Framework: Reviewing the solvency framework in the medical schemes environment; Developing an alternative framework and stakeholder engagement of project to initiate the review of solvency framework.
Industry engagement on technical projects: Stakeholder engagement and technical analysis on private health care pricing issues for example risk profiling of medical schemes and measuring medical scheme expenditure inflation.
Statistical, actuarial and research support to other projects, including sections of the annual report: Data modelling and statistical analysis; Report writing.
Skills and Competency Base: The successful candidate will have the following key competencies and skills:
Actuarial sciences or master's degree in either Statistics or Health Economics or Econometrics;
Knowledge and experience in analysis of insurance industry will be an added advantage;
Three (3) years working experience in a Managed Healthcare and/or Medical Scheme environment;
Data management and modelling experience, specifically in the managed healthcare environment;
Project management experience;
Outstanding quantitative and qualitative reasoning skills;
Ability to handle all stages in the full cycle of a research project;
Ability to work well independently, with minimal supervision, as well as in a team environment;
Strong interpersonal skills with the ability to interact effectively with internal and external customers;
Solid working proficiency in Excel and SAS or other statistical software and analytical tools
Attention to detail and ability to work under pressure; and
Knowledge of all related legislation impacting on and influencing the functioning of the organisation.